The role involves coordinating charge requests and billing compliance while implementing changes to reporting and reconciliation. Additionally, the specialist provides administrative leadership support, manages departmental needs, and optimizes operational workflows.
UW Health
6 Remote Job Openings at UW Health
Medical Coding Specialist II - Ortho/Rehab with Multi Spec
UW Health
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Full Time
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19 days ago
UW Health
The Medical Coding Specialist II will utilize coding software and resources to determine appropriate medical codes. They will maintain knowledge of coding initiatives and regulatory requirements to ensure accurate coding practices.
Lead and coach coding staff to ensure quality production standards and provide feedback for improvement. Collaborate with Clinical Documentation Improvement on HCC coding and manage hiring, onboarding, and staffing schedules.
Determine appropriate medical codes using encoder and grouper software for radiology and E&M services. Apply regulatory requirements and institutional guidelines to ensure accurate coding and modifier selection.
Utilize encoder and grouper software to determine appropriate medical codes including ICD-10-CM, CPT, and HCPCS. Resolve pre-bill claim edits to ensure the cleanest possible claims before submission to payers.
The Coding Quality Analyst will assess the accuracy and completeness of inpatient coding through audits and ensure compliance with guidelines. They will also provide feedback to the coding team and assist in training new coders.